#472: Lupus in Pregnancy: Understanding the Risks Without the Fear

In this episode of Birthing Instincts, Blyss and Stu take a deep dive into systemic lupus erythematosus (SLE) in pregnancy.

Together they explore what lupus is, how it affects pregnancy, and what current evidence says about risks such as preeclampsia, fetal growth restriction, preterm birth, stillbirth, and congenital heart block.

Along the way, Stu revisits the decades-old Hadlock fetal growth curve and questions whether a single growth standard can accurately reflect diverse populations around the world. The conversation highlights the importance of individualized care, informed decision-making, and understanding risk without defaulting to fear-based management.

References:

Instagram Live with @Kristen_Nagle

Reclaiming Birth Gathering: reclaimingbirthconference.com

Made For Birth Podcast: Questioning The Standard of Maternity Care

Discussed in This Episode

• What systemic lupus erythematosus (SLE) is and how it affects pregnancy

• Lupus flares, remission, and preconception planning

• Preeclampsia risk in women with lupus

• Hydroxychloroquine safety and use during pregnancy